The West Virginia Record of Absence — Self-Certification Form is an important document used to record and certify an individual's absence from work or school. It is often required by employers or educational institutions to keep track of employees or students' attendance and absences. This form serves as evidence and documentation of an individual's valid reasons for being absent. Key Features: 1. Purpose: The primary purpose of the West Virginia Record of Absence — Self-Certification Form is to provide a standardized format for individuals to report their absences, ensuring transparency and accountability. 2. Personal Information: The form typically includes fields for the individual's full name, contact information, employee or student ID number, designation, department (for employees), and grade level (for students). 3. Date and Duration of Absence: This section allows individuals to specify the date(s) they were absent as well as the duration (number of days) of the absence. This information helps employers or educational institutions accurately record and track the period of absence. 4. Reason for Absence: The form usually requires the individual to specify the reason for their absence. This can include being sick, attending a medical appointment, personal reasons, family emergencies, bereavement, or other acceptable justifications. 5. Certification and Signature: To ensure authenticity, the form typically includes a certification statement that verifies the accuracy of the information provided. The individual must sign and date the form, certifying that the provided information is true and correct. 6. Supporting Documents: Depending on the employer or educational institution's policies, individuals may need to attach relevant supporting documents, such as a doctor's note, court summons, or other relevant proof validating the reason for their absence. 7. Submission and Storage: Once completed, the form is submitted to the appropriate authority, such as the employer's human resources department or the school's attendance office. A copy is often kept in the individual's personnel or academic file for future reference or verification purposes. Different Types: 1. West Virginia Record of Absence — Self-Certification Form for Employees: This form is specifically designed for employees to report their absences from work. It may include additional sections or fields related to the company's policies, leave types, or any specific requirements unique to the organization. 2. West Virginia Record of Absence — Self-Certification Form for Students: Educational institutions utilize this form to monitor students' attendance and track their absences. It may contain sections dedicated to the student's academic information, such as course name, instructor's name, and student ID, alongside relevant fields mentioned above. By effectively utilizing the West Virginia Record of Absence — Self-Certification Form, employers and educational institutions can maintain accurate attendance records, ensure compliance with regulations, and facilitate appropriate handling of absences in a transparent and consistent manner.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.